Individual provider · NPI-1
Cassandra Beaulieu, Beh Shp Spec
Community Health Worker · New Orleans, LA
NPI number1861766552
StatusActive
Last updated in NPPESFeb 28, 2012
Details
- NPI
- 1861766552
- Entity type
- Individual (NPI-1)
- Name
- Miss Cassandra Beaulieu
- Credential
- Beh Shp Spec
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2012
- Last updated
- Feb 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3801 Canal St210
New Orleans, LA 70119-6082
Phone 504-483-1985 · Fax 504-483-1984
Mailing address
3801 Canal St210
New Orleans, LA 70119-6082
Phone 504-483-1985 · Fax 504-483-1984
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